NPIMap

Organization Active NPI

Victor Paul C Valdez Jr DMD a Professional Corp

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1205966801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33392 Issued in CA
Legal business name
VICTOR PAUL C VALDEZ JR DMD A PROFESSIONAL CORP
Practice address
181 El Camino Real
Suite B
Tustin, CA 92780-3679
Phone
(714) 669-9555
Fax
(714) 669-9496
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Victor Paul Cayabyab Valdez Jr.NPI 1023148574
Title
President Owner
Phone
(714) 669-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 33392 CA Primary

Addresses

Primary practice location

181 El Camino Real
Suite B
Tustin, CA 92780-3679

Mailing address

181 El Camino Real
Suite B
Tustin, CA 92780-3679
Phone (714) 669-9555

Other names 1

  • Cornerstone Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

181 El Camino Real
Ste B
Tustin, CA 92780
Phone (714) 669-9555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205966801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803679",
            "telephone_number": "714-669-9555",
            "fax_number": "714-669-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803679",
            "telephone_number": "714-669-9555",
            "fax_number": "714-669-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR PAUL C VALDEZ JR DMD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "VICTOR PAUL",
        "authorized_official_middle_name": "CAYABYAB",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "714-669-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.